Events


Welcome to LICA’s online event registration page. Please use this form to register attendance and/or to take a sponsorship for upcoming LICA events. Credit card payment for sponsorship or non-member registration fees (if applicable) can be made online after you submit this form. If you prefer to pay by check instead, please state that in the Notes field at the end of the form, then make your check payable to LICA and mail to: LICA, 150 Motor Pkwy, Suite 307, Hauppauge, NY 11788.

For more information about each event, please click here. We look forward to seeing you soon.

Event Name:

Company Information:

Company Name:


Membership Status:


Contact Person:


Contact Phone:
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Contact E-mail Address:


Number Of Attendees:

Attendee Information:

Attendee #1:
Attendee #6:
Attendee #2:
Attendee #7:
Attendee #3:
Attendee #8:
Attendee #4:
Attendee #9:
Attendee #5:
Attendee #10:


BE A LICA EVENT SPONSOR (Optional)



Contact Lynn Barker at: to provide ad or logo artwork.


Notes / Special Requests



By clicking the "Continue Registration" button below, your registration information will be sent to LICA. Please review all information above before you continue.

Please check the “I’m not a robot” box below to submit this form



  

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